Game-Based 3D Simulation for Vital Signs Training in Nursing Education

NCT07009275 | Completed

• 1 other identifier: E-26428519-044-65435
• Study Type: interventional
• Target: 73
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to improve nursing students' skills in measuring vital signs using a 3D animation-based game simulation. Measuring vital signs is a key responsibility for nurses and requires both knowledge and hands-on practice. To help students learn without risking patient safety, we developed an educational game that uses 3D animation technology. A total of 73 nursing students participated in this randomized controlled study. One group used the 3D game simulation, while the other group received traditional teaching. We compared students' test scores, their satisfaction with the learning method, and their confidence in what they learned.

Conditions

Nursing Education; Vital Signs; Animation; Academic Acheivement; Satisfaction

Keywords

nursing education; vital signs; animation; academic acheivement; satisfaction

Outcome Measures

Primary Outcomes (1)

• Academic Achievement Test of Vital Sings Measurement Skills

  The researchers developed the Academic Achievement Test of Vital Signs Measurement Skills to measure vital signs. The researchers first identified the gains that students should make in measuring vital signs. In line with the literature \[6, 12, 13\], five-choice multiple-choice questions were prepared covering the goals and behaviours determined for each outcome. A total of 58 questions, including 23 questions on blood pressure measurement skills, 12 questions on apical pressure measurement skills, 10 questions on body temperature measurement skills, 7 questions on pulse taking skills, and 6 questions on respiration counting skills, were submitted for expert opinion by email. The questions were rearranged according to the experts' feedback. The questions were administered to 303 nursing students and a pretest was conducted. Question items were analysed and validity and reliability analyses of the questions were performed. In the final stage, inappropriate questions were removed.

  From enrollment to the end of implementation at 4 weeks

Secondary Outcomes (1)

• Student Satisfaction and Self-Confidence in Learning Scale

  From enrollment to the end of implementation at 4 weeks.

Study Arms (2)

Intervention group

EXPERIMENTAL

The intervention group consisted of students using the game-based simulation application developed using 3D animation technology.

Other: The game-based simulation application developed using 3D animation technology

Control group

NO INTERVENTION

Interventions

The game-based simulation application developed using 3D animation technology OTHER

The intervention group consisted of students using the game-based simulation application developed using 3D animation technology, while the control group consisted of students using traditional learning methods.

Intervention group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being enrolled as a student in the Faculty of Nursing,
• Voluntarily agreeing to participate in the study,
• Not having previously received theoretical and practical training on vital signs,
• Not being an international student,
• Not having transferred to the Faculty of Nursing from other health sciences programs with different educational or assessment practices.

You may not qualify if:

• Not being enrolled in the Faculty of Nursing,
• Refusing to participate or withdrawing consent,
• Having prior theoretical or practical education related to vital signs,
• Being an international student,
• Having transferred from other health sciences programs that use different clinical or educational evaluation systems.

Sponsors & Collaborators

• Kocaeli University: lead
• Sakarya University of Applied Sciences: collaborator

Study Sites (1)

Kocaeli University

İzmit, Kocaeli, Turkey (Türkiye)

Location

Related Publications (23)

• Yılmaz D, Çınar G. The effect of simulator use in blood pressure measurement training on nursing students' psychomotor skills. Sağlık ve Toplum Dergisi. 2020;20(1):104-10

  BACKGROUND

• Bayram SB, Caliskan N. The use of virtual reality simulations in nursing education, and patient safety. Contemporary Topics in Patient Safety-Volume 1: IntechOpen; 2020

  BACKGROUND

• Luctkar-Flude M, Tyerman J, Tregunno D, Bell C, Lalonde M, McParland T, et al. Designing a virtual simulation game as presimulation preparation for a respiratory distress simulation for senior nursing students: Usability, feasibility, and perceived impact on learning. Clinical Simulation in Nursing. 2021;52:35-42

  BACKGROUND

• Bayram ŞB, Çalışkan N. Using a game-based virtual reality application in psychomotor skills acquisition: An experience sharing Journal of Human Sciences. 2019;16(1):155-63

  BACKGROUND

• Verkuyl M, Hughes M. Virtual gaming simulation in nursing education: A mixed-methods study. Clinical Simulation in Nursing. 2019;29:9-14

  BACKGROUND

• Atthill S, Witmer D, Luctkar-Flude M, Tyerman J. Exploring the impact of a virtual asynchronous debriefing method after a virtual simulation game to support clinical decision-making. Clinical Simulation in Nursing. 2021;50:10-8

  BACKGROUND

• Şahin G, Başak T. Game-based learning in nursing education. Gümüşhane University Journal of Health Sciences. 2019;8(3):308-14

  BACKGROUND

• Mohammed QH. Knowledge and practices of nursing college student's regarding blood pressure measurement in Hospitals at Kirkuk City. Kufa Journal for Nursing Sciences. 2016;6(2):177-84

  BACKGROUND

• Özsaban A, Turan N, Beki Ç, Aşti T. The relationship between nurses' attitudes toward vital signs monitoring and emotional ıntelligence levels. Genel Tıp Dergisi. 2022;32(6):652-7

  BACKGROUND

• Kısacık ÖG, Gündoğan AÖ, Yılmaz E. Attitudes of Nurses and Nursing Students Towards Vital Signs: A Comparatıve Study. Journal of Nursing Effect. 2024;17(4):575-90

  BACKGROUND

• Gülnar E, Yılmaz ED, Özveren H. Hemşirelerin yaşam bulgularina ilişkin tutum ve uygulamalarinin belirlenmesi. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2020;22(3):377-85

  BACKGROUND

• Öztürk D, Göçmen Baykara Z. The effect of peer education on the teaching of nursing skills. Journal of Education and Research in Nursing. 2019;16(4):295-300

  BACKGROUND

• Foronda CL, Fernandez-Burgos M, Nadeau C, Kelley CN, Henry MN. Virtual Simulation in Nursing Education: A Systematic Review Spanning 1996 to 2018. Simul Healthc. 2020 Feb;15(1):46-54. doi: 10.1097/SIH.0000000000000411.

  PMID: 32028447 BACKGROUND

• Ordu Y, Caliskan N. The effect of virtual game simulation on students' perception of nursing diagnosis and clinical practice: Post-test only randomized controlled trial. Nurse Educ Pract. 2023 Oct;72:103792. doi: 10.1016/j.nepr.2023.103792. Epub 2023 Sep 26.

  PMID: 37769493 BACKGROUND

• Carrero-Planells A, Pol-Castaneda S, Alamillos-Guardiola MC, Prieto-Alomar A, Tomas-Sanchez M, Moreno-Mulet C. Students and teachers' satisfaction and perspectives on high-fidelity simulation for learning fundamental nursing procedures: A mixed-method study. Nurse Educ Today. 2021 Sep;104:104981. doi: 10.1016/j.nedt.2021.104981. Epub 2021 May 25.

  PMID: 34062333 BACKGROUND

• Alshehry AS, Cruz JP, Bashtawi MA, Almutairi KO, Tumala RB. Nursing Students' Knowledge, Competence and Attitudes towards Vital Signs Monitoring during Clinical Practice. J Clin Nurs. 2021 Mar;30(5-6):664-675. doi: 10.1111/jocn.15586. Epub 2020 Dec 16.

  PMID: 33259648 BACKGROUND

• Connor N, McArthur D, Camargo Plazas P. Reflections on vital sign measurement in nursing practice. Nurs Philos. 2021 Jan;22(1):e12326. doi: 10.1111/nup.12326. Epub 2020 Oct 1.

  PMID: 33001547 BACKGROUND

• Gillan PC, Delaney LJ, Tutticci N, Johnston S. Factors influencing nursing students' ability to recognise and respond to simulated patient deterioration: A scoping review. Nurse Educ Pract. 2022 Jul;62:103350. doi: 10.1016/j.nepr.2022.103350. Epub 2022 Apr 20.

  PMID: 35468343 BACKGROUND

• Kellett J, Sebat F. Make vital signs great again - A call for action. Eur J Intern Med. 2017 Nov;45:13-19. doi: 10.1016/j.ejim.2017.09.018. Epub 2017 Sep 20.

  PMID: 28941841 BACKGROUND

• Mok W, Wang W, Cooper S, Ang EN, Liaw SY. Attitudes towards vital signs monitoring in the detection of clinical deterioration: scale development and survey of ward nurses. Int J Qual Health Care. 2015 Jun;27(3):207-13. doi: 10.1093/intqhc/mzv019. Epub 2015 Apr 16.

  PMID: 25888564 BACKGROUND

• Kamio T, Kajiwara A, Iizuka Y, Shiotsuka J, Sanui M. Frequency of vital sign measurement among intubated patients in the general ward and nurses' attitudes toward vital sign measurement. J Multidiscip Healthc. 2018 Oct 15;11:575-581. doi: 10.2147/JMDH.S179033. eCollection 2018.

  PMID: 30410344 BACKGROUND

• Eyikara E, Baykara ZG. Effect of simulation on the ability of first year nursing students to learn vital signs. Nurse Educ Today. 2018 Jan;60:101-106. doi: 10.1016/j.nedt.2017.09.023. Epub 2017 Oct 13.

  PMID: 29078202 BACKGROUND

• Tanrikulu F, Gundogdu H, Erol F, Dikmen Y. A comparison of 3D game-based simulation versus traditional methods in vital signs education. BMC Med Educ. 2025 Oct 2;25(1):1344. doi: 10.1186/s12909-025-07980-4.

  PMID: 41039559 DERIVED

MeSH Terms

Conditions

Personal Satisfaction

Condition Hierarchy (Ancestors)

Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr.

Model Details: A randomized controlled experimental design

Study Record Dates

• First Submitted: May 20, 2025
• First Posted: June 6, 2025
• Study Start: January 25, 2023
• Primary Completion: May 12, 2023
• Study Completion: September 10, 2023
• Last Updated: June 6, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)